RN Leadership Online Practice A questions and
answers 2026\2027 A+ Grade
A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial
enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin
tube feedings. Which of the following actions should the nurse take?
- correct answer Review the client's request with the family.
Rational: The client's living will states that artificial enteral feedings should not be allowed, and the
nurse should review the client's request with the family. Staff members should use the client's living will
as the guide for treatment unless a durable power of attorney for health care has been created.
A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the
following findings should the nurse identify as the priority?
- correct answer The child has red fissures at the corners of the mouth.
Rational: Using Maslow's hierarchy of needs, the nurse should determine that the priority finding is red
fissures at the corners of the child's mouth. This can indicate a vitamin B deficiency, which is a
physiological need.
A nurse manager needs to address an increased rate of client medication errors. Which of the following
strategies represents an authoritarian approach to managing this issue?
- correct answer Inform the staff of the penalties that can result from medication errors.
Rational: The nurse manager is using penalties to promote behavior change; this is characteristic of
authoritarian leadership.
A charge nurse is leading a committee that is revising the policy for client discharge. After developing
the initial plan, which of the following actions should the nurse take next?
- correct answer Determine goals and objectives.
Rational: According to evidence-based practice, the nurse attempting to make a change or revision to a
policy should first develop the initial plan and then determine goals and objectives. Objectives define
strategies or implementation steps to attain the identified goals.
, A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult
children disagree about continuing nutritional support. The dilemma is referred to the ethics committee.
Which of the following actions should the nurse expect the committee to take?
- correct answer Assist in weighing the options involved in the decision.
Rational: Ethics committees are members of the interprofessional team who assist with problem solving
related to ethical dilemmas. The ethics committee examines all of the facts and provides support for the
clients and caregivers.
A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take
first?
- correct answer Assist clients who are in immediate danger to a safe location.
Rational: The greatest risk to clients is injury from the fire. Therefore, the first action the nurse should
take is to move clients who are in immediate danger to a safe location.
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr. The nurse should
identify that which of the following assessments is the priority?
- correct answer Obtain the client's serum potassium level.
Rational: Because vomiting and diarrhea contribute to the loss of potassium through body fluids, the
greatest risk to this client is life-threatening cardiac dysrhythmias as a result of hypokalemia; therefore,
the nurse should identify that the priority assessment is the client's serum potassium level.
A nurse is conducting an orientation class for new clients and their families at a long-term care facility.
Which of the following client rights should the nurse address at the orientation? (Select all that apply.)
- correct answer The right to be treated with respect and dignity
The right to refuse their medications
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
A nurse in an emergency department is admitting clients following an earthquake. The emergency
disaster plan has been implemented due to the anticipated arrival of a large number of casualties.
Which of the following clients should the nurse recommend the provider evaluate first?
- correct answer A client who has a sucking chest wound
Rational: A client who has a sucking chest wound has an immediate threat to life and requires
immediate intervention for survival; therefore, when using the survival approach to client care, the
nurse should recommend the provider evaluate this client first.
answers 2026\2027 A+ Grade
A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial
enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin
tube feedings. Which of the following actions should the nurse take?
- correct answer Review the client's request with the family.
Rational: The client's living will states that artificial enteral feedings should not be allowed, and the
nurse should review the client's request with the family. Staff members should use the client's living will
as the guide for treatment unless a durable power of attorney for health care has been created.
A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the
following findings should the nurse identify as the priority?
- correct answer The child has red fissures at the corners of the mouth.
Rational: Using Maslow's hierarchy of needs, the nurse should determine that the priority finding is red
fissures at the corners of the child's mouth. This can indicate a vitamin B deficiency, which is a
physiological need.
A nurse manager needs to address an increased rate of client medication errors. Which of the following
strategies represents an authoritarian approach to managing this issue?
- correct answer Inform the staff of the penalties that can result from medication errors.
Rational: The nurse manager is using penalties to promote behavior change; this is characteristic of
authoritarian leadership.
A charge nurse is leading a committee that is revising the policy for client discharge. After developing
the initial plan, which of the following actions should the nurse take next?
- correct answer Determine goals and objectives.
Rational: According to evidence-based practice, the nurse attempting to make a change or revision to a
policy should first develop the initial plan and then determine goals and objectives. Objectives define
strategies or implementation steps to attain the identified goals.
, A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult
children disagree about continuing nutritional support. The dilemma is referred to the ethics committee.
Which of the following actions should the nurse expect the committee to take?
- correct answer Assist in weighing the options involved in the decision.
Rational: Ethics committees are members of the interprofessional team who assist with problem solving
related to ethical dilemmas. The ethics committee examines all of the facts and provides support for the
clients and caregivers.
A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take
first?
- correct answer Assist clients who are in immediate danger to a safe location.
Rational: The greatest risk to clients is injury from the fire. Therefore, the first action the nurse should
take is to move clients who are in immediate danger to a safe location.
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr. The nurse should
identify that which of the following assessments is the priority?
- correct answer Obtain the client's serum potassium level.
Rational: Because vomiting and diarrhea contribute to the loss of potassium through body fluids, the
greatest risk to this client is life-threatening cardiac dysrhythmias as a result of hypokalemia; therefore,
the nurse should identify that the priority assessment is the client's serum potassium level.
A nurse is conducting an orientation class for new clients and their families at a long-term care facility.
Which of the following client rights should the nurse address at the orientation? (Select all that apply.)
- correct answer The right to be treated with respect and dignity
The right to refuse their medications
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
A nurse in an emergency department is admitting clients following an earthquake. The emergency
disaster plan has been implemented due to the anticipated arrival of a large number of casualties.
Which of the following clients should the nurse recommend the provider evaluate first?
- correct answer A client who has a sucking chest wound
Rational: A client who has a sucking chest wound has an immediate threat to life and requires
immediate intervention for survival; therefore, when using the survival approach to client care, the
nurse should recommend the provider evaluate this client first.
